09-9649 - Laserfiche WebLink

Browse Search

813 78U - UUU tally 01 LCNIIytlIIiI t rgJp„Vauwn, Building Department 1 ( � 4 Date Received Phone Contact for Permittln s 7 O 3 /° Owners Name 4fit/A/,4,Q ri OAlhS Owner Phone Number (6"3) •769- 52 77 ' Owner's Address 6 00 /V th srS/#OI &f o 1;m0.4 YAi� FL 33(,o? Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address 07 G hl i gg, I yN 4 01 2EP.yye.tit a 3 3S o L OT # I 12 I JOB ADDRESS / / SUBDIVISION 6 2 4 4 A / C i s � / Q P . /- PARCEL ID# 0 . 3 — . 2 6 7 - 2 1 - 0 2 3 0 — 0 0 0 0 0 - 6 4 1 . 2 . 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ��/ NEW CONSTR ADD /ALT I I SIGN n MOVE Q DEMOLISH a INSTALL REPAIR PROPOSED USE . n SFR 1 1 COMM n OTHER I TYPE OF CONSTRUCTION BLOCK I 1 FRAME n STEEL n OTHER I 1 DESCRIPTION OF WORK / / lt' CONST eUC77 OA) 10 wN / oJ4 BUILDING SIZE S4 FOOTAGE !. HEIGHT a SID 4,..y 1 BUILDING $ 3 / 45-0 VALUATION OF TOTAL CONSTRUCTION n ELECTRICAL $ 3 1 (1 0 AMP SERVICE ® PROGRESS ENERGY 0 W.R.E.C n PLUMBING $ 3.� { S K 6 l G y q U�1 S 2 v ,,. n MECHANICAL $ 5(S VAL O MECHANICAL INSTALLATION d Sib Ti GAS I I ROOFING I I SPECIALTY 11 OTHER i ,) 0 e! FINISHED FLOOR ELEVATIONS 9� / 0 FLOOD ZONE AREA I (YES TINO 1 � BUILDER / , COMPANY LEN/AR- // S SIGNATURE ----'. REGISTERED I Y/ N I FEE CURRENT I Y / N Address - 4° ox/ 4/Ai 4 ,6E BLVD - 71544/ , 3 360 ( 1 License# COG / A SST. 7 ELECTRICIAN COMPANY r NYop fo, i 6'ceci erg _ZN C . SIGNATURE REGISTERED I Y/ N I FEE CURRENT i Y/ N Address , i 0,3y •S Pf?4" R.0.4),,�.4 fftt L. 33 6/3 License# EC" 00 o 2.5 79 PLUMBER COMPANY BN Ph.U /1V SIGNATURE REGISTERED ( Y / N 1 FEE CURRENT I ¥ / N I Address (032-1 //W o/ S ,./2/ Ve i 35378 License # CPC a „,..? /.5 0 MECHANICAL COMPANY 9 On/FTi4 ?d /•V&s /16/977.1. -, l " /4G SIGNATURE ., REGISTERED Y/ N I FEE CURRENT 1 Y/ N I Address f a. BoK O yoNFTl INr, FL35/674/1 License # CAC 0s8 0 6 2 OTHER COMPANY Co •'T L /AI6- t a,FL,'7 -9 R 0A4.6 V SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT i Y/ N I Address "/Z/ /. 5,044 L /uE 8L.VO c$'P/LiNG /44 `ZjYIO7 License# ( C& CO S? 99 :1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater. Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Storm Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. " 'PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW